IndividualActive
Jason Bouvier, CPHT
NPI 1104391085 · Pharmacy Technician · Martinez, GA
Provider details
- NPI number
- 1104391085
- Entity type
- Individual
- Primary specialty
- Pharmacy TechnicianPharmacy Service Providers
- Credential
- CPHT
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Pharmacy Service Providers
- Community/Retail Pharmacy3336C0003X
Suppliers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
403 Furys Ferry Rd
Martinez, GA 30907-9038
Phone: (706) 650-3665
Approximate (ZIP-level) locationGet directions
Mailing address
2384 Wheeless Rd
Augusta, GA 30906-5404
Registry dates
- Enumerated
- 2018-10-08
- Last updated
- 2025-09-11
- Certified
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.